SC 13D/A: Schedule filed to report acquisition of beneficial ownership of 5% or more of a class of equity securities
Published on December 17, 2014
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
(Amendment No. 1)
Apollo Medical Holdings, Inc.
(Name of Issuer)
Common Stock, $.001 Par Value
(Title of Class of Securities)
03763A108
(CUSIP Number)
P. Rupert Russell, Esq.
Ellyn Roberts, Esq.
Shartsis Friese LLP
One Maritime Plaza
San Francisco, CA 94111
(415) 421-6500
(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)
December 9, 2010*
(Date of Event Which Requires Filing of this Statement)
* The amount of the securities reported as beneficially owned by the filer of this Schedule 13D is the amount such filer beneficially owned on the date that this Schedule 13D is filed.
If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of sections 240.13d-1(e), 240.13d-1(f) or 140.13d-1(g), check the following box. [ ]
Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See section 240.13d-7 for other parties to whom copies are to be sent.
The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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CUSIP 03763A108 |
1. | Names of Reporting Persons. Adrian Vazquez, M.D. |
2. Check the Appropriate Box if
a Member of a Group (See Instructions)
(a) ______
(b) X
3. SEC Use Only
4. Source of Funds (See Instructions) OO
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e) ____ |
6. Citizenship or Place of Organization U.S.A.
Number of Shares Beneficially Owned by Each Reporting Person With |
7. Sole Voting Power 9,442,381
|
8. Shared Voting Power 0
|
|
9. Sole Dispositive Power 9,442,381 | |
10. Shared Dispositive Power 0 |
11. Aggregate Amount Beneficially Owned by Each Reporting Person 9,442,381
12. Check if the Aggregate Amount
in Row (11) Excludes Certain Shares (See
Instructions) ______
13. Percent of Class Represented by Amount in Row (11) 19.3%
14. Type of Reporting Person (See Instructions) IN
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CUSIP 03763A108 |
Item 1. Security and Issuer
This statement relates to shares of Common Stock $.001 Par Value (the "Stock"), of Apollo Medical Holdings, Inc. (the "Issuer"). The principal executive office of the Issuer is located at 700 N. Brand Blvd., Suite 220, Glendale, CA.
Item 2. Identity and Background
The persons filing this statement and the persons enumerated in Instruction C of Schedule 13D and, where applicable, their respective places of organization, general partners, directors, executive officers and controlling persons, and the information regarding them, are as follows:
(a) | Adrian Vazquez, M.D. |
(b) | Dr. Vazquez’s business address is listed in Item 1. |
(c) | Dr. Vazquez’s present principal occupation is an officer of the Issuer. He was an officer and director of the Issuer until December 2011 and again became an executive officer in March 2014. |
(d) | During the last five years, Dr. Vazquez has not been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors). |
(e) | During the last five years, Dr. Vazquez was not a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and as a result of such proceeding was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. |
(f) | Dr. Vazquez is a United States citizen. |
Item 3. Source and Amount of Funds or Other Consideration
Pursuant to an Agreement and Plan of Merger dated June 13, 2008, by and among the Issuer, Apollo Medical Management, Inc., and Apollo Medical Acquisition Co., Inc. (the “Merger Agreement”), the Issuer issued Dr. Vazquez 9,123,387 shares of the Issuer’s Common Stock in consideration for the capital stock of Apollo Medical Management, Inc., which were owned by Dr. Vazquez. In connection with his service as an executive officer and member of the Board of Directors of the Issuer, on December 9, 2010, the Issuer granted to Dr. Vazquez options to purchase 300,000 shares of the Stock, all of which have vested. In connection with his service as an executive officer, on July 14, 2014, the Issuer granted him options to purchase 100,000 shares of the Stock, of which 19,444 shares have vested or will vest within 60 days after the date that this Schedule 13D is filed.
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CUSIP 03763A108 |
Item 4. Purpose of Transaction
Dr. Vazquez has no definitive plan, arrangement or understanding to seek to cause the Issuer to be merged, reorganized or liquidated, to sell or transfer any assets of the Issuer, to cause the Issuer to change its current board of directors or management, to cause any material change to its capitalization, dividend policy, business, corporate structure, charter or bylaws, to terminate the Stock’s registration under section 12(g)(4) of the Act, or to take any similar action.
Item 5. Interest in Securities of the Issuer
Dr. Vazquez’s beneficial ownership of the Stock as of the date this Schedule 13D is filed is reflected on his cover page. He has effected no transactions in the Stock except those described in Item 3.
Item 6. Contracts, Arrangement, Understandings or Relationships with Respect to Securities of the Issuer
None, other than the Merger Agreement.
Item 7. Material to Be Filed as Exhibits
Merger Agreement, incorporated by reference to Exhibit 10.1 of the Issuer’s Form 8-K filed June 19, 2000.
SIGNATURE
After reasonable inquiry and to the best of my knowledge, I certify that the information set forth in this statement is true, complete and correct.
Dated: December 11, 2014
/s/ Adrian Vazquez, M.D. |